Samuel has presented to a local hospital with psychiatric symptoms. The admission nurse suspects that his symptoms may be the result of a medical condition. Which of the following would suggest a medical origin for Samuel's symptoms?
A) A history of substance abuse
B) A long term history of psychiatric illness
C) A gradual onset of mental symptoms
D) A waxing and waning of mental status
Ans: D
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The following features generally suggest a medical origin for psychiatric symptoms: no personal or family history of psychiatric illness; no history or indication of substance abuse; sudden onset of mental symptoms; and waxing and waning of mental status.
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